Dianne Gaviria, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY13130 Issued in FL

Practice address

2290 10TH Ave N Ste 601
Lake Worth, FL 33461-6618

Phone

(561) 823-3178

Fax

(561) 516-8861

NPI assigned

Feb 4, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ellie PBC LLC

  • Mental Health Counselor
  • Lake Worth, FL
  • NPI 1942081872
  Medicare reassignment NPD
• Ellie PBC2 LLC

  • Mental Health Counselor
  • West Palm Beach, FL
  • NPI 1700644408
  Medicare reassignment NPD
• Foundations Therapy, Inc.

  • Hearing and Speech Clinic/Center
  • Coral Springs, FL
  • NPI 1013660083
  NPD (past)
• Foundations Therapy, Inc.

  • Early Intervention Provider Agency
  • Coral Springs, FL
  • NPI 1639219389
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1454544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769990400000",
    "number": "1043678071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2290 10TH AVE N STE 601",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334616618",
            "telephone_number": "561-823-3178",
            "fax_number": "561-516-8861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2290 10TH AVE N STE 601",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334616618",
            "telephone_number": "561-823-3178",
            "fax_number": "561-516-8861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAVIRIA",
        "first_name": "DIANNE",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-04",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY13130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gardens Urgent Care of Lake Worth LLC
• Sueann Garrison, PH.D.
• Gary Tong
• Gaspard'S Home, Inc
• Suzelle Gauthier
• Rebecca Sue Gay, CD
• Lauren Gaydosh
• GCN Therapies/Genylima/SLP
• Gemini Ambulatory Surgical Center Incorporated
• Gemma Banez Physical Therapy,PA

• Psychologist in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.